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NPI Code Detail

MEDICARE: LEILA LANSBERRY RBT

MEDICARE:   LEILA  LANSBERRY  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBACB1210365WV

General Provider Information

NPI Number : 1497689590
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA LANSBERRY RBT
Provider Business Mailing Address
First Line : 283 POINT MOUNTAIN RD
Second Line :
City : VALLEY HEAD
State : WV
Zip : 26294-7000
Country : US
Telephone Number : 304-931-3272
Fax Number :
Provider Business Practice Location Address
First Line : 1107 S DAVIS AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3529
Country : US
Telephone Number : 304-801-3258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ LEILA LANSBERRY RBT” Practice Location

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